| NPI | 1992966451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036122664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051019) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-05-05 |