| NPI | 1386603710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-01298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036114856) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-03-06 |