NPI | 1225037443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 15402R) |
Additional Taxonomies | 208D00000X General Practice (Licence: LA 15402R) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2023-11-21 |