NPI | 1104370030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 68700) |
Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: RI LP03805) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2021-07-14 |