| NPI | 1790154706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2019005686) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019005686) |
| 208000000X Pediatrics (Licence: IL 036151744) | |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2023-03-19 |