| NPI | 1821254913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 266954-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.125681) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-10-22 |