| NPI | 1215678610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036171955) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 128.081048) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-08-01 |