| NPI | 1790246528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1027943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-157720) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-08-06 |