NPI | 1386092385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 17082) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068530) |
208000000X Pediatrics (Licence: AZ 007856) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2021-12-03 |