| NPI | 1770774622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C56108) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36117972) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-02-20 |