| NPI | 1023270899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 56072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125055364) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-10-26 |