NPI | 1518385160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD461168) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD461168) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD461168) | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2024-10-17 |