NPI | 1114071362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0066893) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037397) |
208000000X Pediatrics (Licence: VA 0101249444) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2022-01-10 |