| NPI | 1649651811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.148609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018013113) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2018013113) | |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2019-06-19 |