| NPI | 1760768626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS15726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.132794) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2023-07-06 |