| NPI | 1477816783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.128881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125061542) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2016-07-04 |