NPI | 1770679920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036-071365) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036071365) |
208000000X Pediatrics (Licence: IL 036-071365) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-07-30 |