NPI | 1124029301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD442035) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 034397) |
208000000X Pediatrics (Licence: VA 034397) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2023-02-02 |