| NPI | 1114457413 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 11730992-1204) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.070795) | 
| Enumeration Date | 2017-06-19 | 
| Last Update Date | 2020-06-03 |