| NPI | 1497140040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-161196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 66579) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-10-13 |