NPI | 1194087643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 78457) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015015455) |
208000000X Pediatrics (Licence: KS 04-38033) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2022-06-29 |