| NPI | 1538550595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T3202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.067550) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-08-16 |