NPI | 1104839778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G80183) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA g080183) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-05-18 |