| NPI | 1750605788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.141415) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60157807) |
| 208000000X Pediatrics (Licence: MI 4301104916) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2022-07-27 |