| NPI | 1578901690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD044355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125063150) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-10-22 |