| NPI | 1104142777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036144405) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036144405) |
| 208000000X Pediatrics (Licence: CO 54207) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2024-01-16 |