NPI | 1366441164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A16419) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS9557) |
208000000X Pediatrics (Licence: NY 234480) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2021-12-16 |