NPI | 1295077576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.099867) |
Additional Taxonomies | 208D00000X General Practice (Licence: IL 036.099867) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2022-03-29 |