NPI | 1013374651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101263031) |
Additional Taxonomies | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: WA 0116029479) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2022-08-10 |