NPI | 1306265533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 34.011945) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 288097) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2022-06-28 |