| NPI | 1013458454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210011400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.152067) |
| 208000000X Pediatrics (Licence: CA A172837) | |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2023-08-13 |