| NPI | 1659468650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 54710) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036105045) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-10-30 |