| NPI | 1306231931 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.144847)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.144847)  | 
| Enumeration Date | 2015-03-31 | 
| Last Update Date | 2021-01-07 |