NPI | 1053847772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 63219) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 304857-01) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2021-12-06 |