| NPI | 1750810883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.154145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.070997) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2021-08-10 |