NPI | 1457514192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 34542) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245637) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2025-08-13 |