| NPI | 1689742637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S9036) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-105960) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-09-08 |