| NPI | 1750735106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 15215) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066372) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2018-07-11 |