| NPI | 1760914303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.160861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 283813) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2022-11-04 |