NPI | 1184069742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME132785) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-01559) |
208000000X Pediatrics (Licence: NC 192449) | |
Enumeration Date | 2013-05-08 |
Last Update Date | 2020-10-14 |