| NPI | 1902828775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 75841-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-113135) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-09-17 |