NPI | 1053576074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0437699) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019014139) |
208000000X Pediatrics (Licence: WI 53774) | |
208000000X Pediatrics (Licence: IL 036135135) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2019-11-21 |