NPI | 1417002809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME109716) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P 21397) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2025-08-13 |