| NPI | 1710274808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011019203) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036135503) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2017-07-19 |