| 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 |