| NPI | 1578914024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.149812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068689) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2019-06-26 |