| NPI | 1225619547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 125.079391) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.079391) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-03-04 |