| NPI | 1306111679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.136625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 63761-21) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2018-10-13 |