| NPI | 1689830127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N3768) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.121495) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-05-07 |