| NPI | 1588343560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351050884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036179090) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2026-07-16 |