| NPI | 1619537719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A182087) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125075061) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2022-11-03 |