NPI | 1295771665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: FL os9364) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL os9364) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL OS9364) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2023-08-16 |