NPI | 1407097439 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A119654) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60093475) |
Enumeration Date | 2009-03-22 |
Last Update Date | 2021-12-15 |