| NPI | 1912261512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 84691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-062158) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2025-03-18 |