| NPI | 1861693012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036125164) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD433978) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-06-03 |