| NPI | 1962029579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-166678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020018778) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-10-30 |