NPI | 1154332435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2024023566) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024023566) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2024-08-06 |