NPI | 1154634483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A127834) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10037144) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2023-05-24 |