| NPI | 1255836136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME166582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036157401) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2024-08-05 |