| NPI | 1649581570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-142887) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA 197494) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2020-05-27 |