| NPI | 1912312547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IL 036.152651) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-065670) |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: PA OT017636) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-06-11 |