NPI | 1275996621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME156590) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SD 11603) |
Enumeration Date | 2016-04-02 |
Last Update Date | 2025-03-15 |