| NPI | 1639328743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 31538) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.121545) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2009-03-31 |