| NPI | 1730593690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10058969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-065428) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-21 |