NPI | 1609138643 |
---|---|
Former Name | LARISA DAINA LIZENBERGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036137904) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125060887) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2021-08-10 |