NPI | 1023463668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-00558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00558) |
208000000X Pediatrics (Licence: NC 218140) | |
Enumeration Date | 2016-05-02 |
Last Update Date | 2021-05-08 |