| NPI | 1902172919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.136787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.061194) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2022-04-27 |