| NPI | 1992804793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 72674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036105978) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-12-20 |