| NPI | 1912491804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A19613) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.072989) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-09-15 |