| NPI | 1023302510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.136205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1504) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2015-11-16 |