NPI | 1003349713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 293243) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-02955) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2022-08-11 |