| NPI | 1477014959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178707) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074586) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2022-07-05 |