NPI | 1265745756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C167801) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 56174) |
208000000X Pediatrics (Licence: KY 46105) | |
Enumeration Date | 2010-07-26 |
Last Update Date | 2020-10-07 |