| NPI | 1104268168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036140445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301103909) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2016-11-07 |