NPI | 1245891878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 8603) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-112688) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-08-01 |