| NPI | 1780826909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 336.091628) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 3920200000X) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-08-30 |