| NPI | 1770965956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A18324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-066863) |
| 208000000X Pediatrics (Licence: TX R6362) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2020-09-03 |