| NPI | 1487236923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.171071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 81163) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2025-11-24 |