| NPI | 1902909492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-116491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006017929) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-04-13 |