| NPI | 1063704609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128367) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 64855) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2019-05-16 |