| NPI | 1316939838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2002021122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107072) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2021-01-15 |