NPI | 1407240799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO MSDR.0000013) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60847680) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2025-01-06 |