| NPI | 1093014425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 8957515-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125059118) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2016-06-23 |