| NPI | 1194981555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128181) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125054624) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2011-10-14 |