| NPI | 1861998577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-166241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD4906) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-01-31 |