| NPI | 1992095723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 336102099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P8528) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-09-05 |