| NPI | 1578084398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-174060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 84000) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2026-07-13 |