| NPI | 1104054063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125057164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125057164) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2013-10-08 |