NPI | 1467833400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 007549) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19204) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2022-01-03 |