NPI | 1255489191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH EL12569) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A81952) |
208000000X Pediatrics (Licence: VA 0101246109) | |
208000000X Pediatrics (Licence: OR MD211902) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2023-08-28 |