NPI | 1144493818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53288) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 16809) |
208000000X Pediatrics (Licence: FL ME109085) | |
Enumeration Date | 2008-04-02 |
Last Update Date | 2020-01-10 |