| NPI | 1780116590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.152927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 287837) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-07-21 |