NPI | 1205828175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 35689) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD421575) |
Enumeration Date | 2005-08-17 |
Last Update Date | 2021-06-29 |