| NPI | 1790222529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.146133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A147062) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2022-08-23 |