NPI | 1063771319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C175546) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 74858) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2022-04-19 |