NPI | 1104080423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA L-235772) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 244200) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2022-07-06 |