NPI | 1033109095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 19572) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 159758) |
208000000X Pediatrics (Licence: WI 64573) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2023-09-06 |