| NPI | 1407139496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP60384410) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125057492) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2013-07-18 |