| NPI | 1962643445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036128281) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI L1373207) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2021-07-20 |