| NPI | 1992235105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A188414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-071062) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-11-25 |