| NPI | 1972965689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2022-0892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-152382) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-08-05 |