NPI | 1356608996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 125067995) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 074078) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2018-09-10 |