NPI | 1417341736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD18078) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME135377) |
208000000X Pediatrics (Licence: MI 4301512477) | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2024-10-07 |