NPI | 1215340187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0086382) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 50442) |
Enumeration Date | 2014-06-08 |
Last Update Date | 2020-11-20 |