NPI | 1235198920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME145284) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ACN685) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2025-03-10 |