| NPI | 1699125823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036161011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016018512) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S0750) | |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2022-10-21 |