| NPI | 1902137201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 54842) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: IL 036118725) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME159595) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2023-01-25 |