| NPI | 1366605412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036-110509) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD 037180) |
| 174400000X Specialist (Licence: LA MD 204495) | |
| 208000000X Pediatrics (Licence: LA 204495) | |
| 208000000X Pediatrics (Licence: IL 036-110509) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-04-30 |