NPI | 1023063807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 119697) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO MD119697) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2024-05-21 |