| NPI | 1801277983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60875351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067440) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2020-12-15 |