NPI | 1326454851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA OP61507893) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP61507893) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2024-01-03 |