| NPI | 1912388984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066508) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-10-11 |