NPI | 1174563605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11168000) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 157546) |
208000000X Pediatrics (Licence: TX M7569) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2025-06-07 |