NPI | 1215468111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 287857) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287857) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-04-09 |