NPI | 1265090237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.144668) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074829) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2023-11-03 |