| NPI | 1750469987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-108494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-108494) |
| 208000000X Pediatrics (Licence: WI 137-320) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-12-19 |