| NPI | 1831320621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.130521) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094777) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2012-08-07 |