| NPI | 1548999618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.079569) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: CA 20A24027) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-07-09 |