| NPI | 1700297983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.152804) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200766) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2020-10-28 |