NPI | 1487404505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-12005) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024020480) |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-08-27 |