| NPI | 1790238921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-146157) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A140307) |
| 208000000X Pediatrics (Licence: IL 036.146157) | |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2021-08-10 |