NPI | 1467500702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD43871) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 43871) |
208000000X Pediatrics (Licence: KY 40095) | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2022-03-23 |