NPI | 1447635875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME175477) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 298447) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2025-09-09 |