NPI | 1326330572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR MD182325) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD182325) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2018-07-30 |