| NPI | 1194461772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.083241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.083241) |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2024-05-20 |