| NPI | 1568877678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036146664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288804-1) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-09-21 |