NPI | 1124057617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR 214024) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA 463842) |
208000000X Pediatrics (Licence: NM 2019-0092) | |
208000000X Pediatrics (Licence: TN 28629) | |
208000000X Pediatrics (Licence: GA 87938) | |
208000000X Pediatrics (Licence: WA 60886822) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-04-23 |