| NPI | 1740274869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC MD83399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 02000068) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036103258) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-07-10 |