| 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 |