| NPI | 1770786667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD 170104) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: IL 036113715) |
| 208000000X Pediatrics (Licence: IL 036113715) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-03-19 |