NPI | 1457779761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300010) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D83453) |
208000000X Pediatrics (Licence: VA 0101276342) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-09-24 |