NPI | 1144803271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 82386) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 330447-01) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2025-07-11 |