NPI | 1356508428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS10380) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD H80972) |
208000000X Pediatrics (Licence: FL OS20052) | |
208D00000X General Practice (Licence: FL OS10380) | |
208M00000X Hospitalist (Licence: FL OS10380) | |
Enumeration Date | 2008-05-17 |
Last Update Date | 2024-06-06 |