| NPI | 1841483492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 18869) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036114367) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-12-15 |