NPI | 1164715579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NV 17988) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112091) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2023-02-01 |