NPI | 1366975682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PR 23566) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 64052) |
208000000X Pediatrics (Licence: MN 28446) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-05-29 |