NPI | 1164048013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74536) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP05095) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-09-07 |