NPI | 1043770514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 293043) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MDRE.ML.60958829) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-08-15 |