NPI | 1316237589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD600001675) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101279758) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2024-08-26 |