| NPI | 1699201251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301501602) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.069979) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2021-06-01 |