| NPI | 1326131665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 4236) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-105825) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2012-02-24 |