| NPI | 1487836060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036-119556) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036 119556) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MS 23828) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 56375) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2021-04-22 |