| NPI | 1578765236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A104919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051701) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-11-29 |