NPI | 1285128975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 83775) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301504156) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2024-12-10 |