| NPI | 1821352519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX q2123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125061721) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-03-18 |