NPI | 1053933150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021025563) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11104) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2022-08-02 |