| NPI | 1811636152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036175159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A202132) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2025-08-13 |