| NPI | 1154378693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C52214) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036099009) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-05-04 |