NPI | 1083875066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD185532) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 49456) |
Enumeration Date | 2008-06-22 |
Last Update Date | 2023-01-25 |