NPI | 1336406156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106554) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000045330) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A106554) | |
Enumeration Date | 2012-04-18 |
Last Update Date | 2023-09-26 |