| NPI | 1912250424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125061663) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 18226) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2018-06-20 |