| NPI | 1962882795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.148520) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD463853) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2021-02-10 |