| NPI | 1851738041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101026099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-063073) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-10-05 |