| NPI | 1942444617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036130710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C132606) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2019-08-28 |