NPI | 1306404611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MT217498) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-02312) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2022-09-09 |