NPI | 1487828216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 556) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO AC38192365029) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2022-01-17 |