NPI | 1386171254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-03245) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 67782) |
208000000X Pediatrics (Licence: KY 57652) | |
Enumeration Date | 2017-05-22 |
Last Update Date | 2025-06-26 |