| NPI | 1154683456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: IL 036.140261) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: IL 036.140261) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2022-07-11 |