| NPI | 1164789368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.149319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2015-01648) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-06-07 |