| NPI | 1831498229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WI 63879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036134456) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2019-02-07 |