NPI | 1235405705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-14767) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60548197) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2019-08-09 |