| NPI | 1891056776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101024517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-061352) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-02-12 |