NPI | 1821220062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: CO DR.0062432) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036102300) |
Enumeration Date | 2009-08-21 |
Last Update Date | 2021-03-19 |