NPI | 1396900486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110956) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 2080A000000X) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2022-03-01 |