| NPI | 1871586859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 69561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-098135) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2021-02-05 |