| NPI | 1033704903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.154904) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G559B7) |
| 208000000X Pediatrics (Licence: CA G559B7) | |
| 207R00000X Internal Medicine (Licence: IL 036.154904) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |