| NPI | 1982821609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 34990) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036123494) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-10-15 |