| NPI | 1770559544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME145388) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036091420) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2021-07-26 |