| NPI | 1679887186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-133780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116022787) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-04-12 |