NPI | 1790122125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.141084) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-063198) |
Enumeration Date | 2013-05-24 |
Last Update Date | 2016-07-05 |