NPI | 1407891070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C52916) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036099377) |
208000000X Pediatrics (Licence: IL 036099377) | |
Enumeration Date | 2006-06-18 |
Last Update Date | 2021-12-13 |