| NPI | 1942465893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 277067-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036128492) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2014-12-03 |