| NPI | 1740719558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101025276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125070316) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2021-03-15 |