| NPI | 1053569046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V1749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-051095) |
| 208000000X Pediatrics (Licence: IL 036-121928) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2024-08-26 |