NPI | 1144322553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60844433) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-6660) |
208000000X Pediatrics (Licence: FL ME92914) | |
208000000X Pediatrics (Licence: NJ 25MA08418000) | |
208000000X Pediatrics (Licence: DC MD049242) | |
Enumeration Date | 2006-09-05 |
Last Update Date | 2021-07-02 |