| NPI | 1336305101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.127084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125054765) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2012-02-02 |