| NPI | 1265090237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.144668) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074829) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-11-03 |