| NPI | 1871931469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY TP270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125063028) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2016-07-28 |