| NPI | 1932405560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX BP10030747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036127299) |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2018-02-22 |