NPI | 1235451402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036-133728) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A108940) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2014-03-24 |