NPI | 1497382105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD481383) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481383) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2023-10-02 |