NPI | 1336769157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 71323) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301509962) |
208000000X Pediatrics (Licence: OH 35.151281) | |
208M00000X Hospitalist (Licence: OH 35.151281) | |
208000000X Pediatrics (Licence: WA MD61462765) | |
Enumeration Date | 2020-04-22 |
Last Update Date | 2024-06-21 |