NPI | 1235487984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD210001804) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3460) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2021-12-28 |