NPI | 1154781292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1021489) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481240) |
Enumeration Date | 2016-03-02 |
Last Update Date | 2025-08-13 |