NPI | 1154351674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G48717) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA G48717) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-12-23 |