| NPI | 1922119957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME147997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-103472) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-01-15 |