| NPI | 1902033954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME152421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125053608) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-06-13 |