| NPI | 1790305662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 69361) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125075640) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2023-09-26 |