NPI | 1073964441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0097832) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD468821) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2023-07-05 |