NPI | 1073171708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS022258) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT01900) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2022-08-31 |