| NPI | 1588820153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 25661) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-053028) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2013-02-20 |