NPI | 1073962023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-164837) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.069255) |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-07-18 |