NPI | 1437366374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101241773) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101241773) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2025-03-07 |