NPI | 1376160051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0103516) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023007967) |
208000000X Pediatrics (Licence: DC MD600004533) | |
Enumeration Date | 2020-06-29 |
Last Update Date | 2025-08-15 |