| NPI | 1609162627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.128353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN12413) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2021-12-21 |