NPI | 1104809284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 27602-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD161114) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2023-03-07 |