| NPI | 1356798276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036158540) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A142363) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-01-11 |