| NPI | 1902259278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300488) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125069215) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-11-27 |