| NPI | 1386890416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.052714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.125557) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2025-05-12 |