NPI | 1528440708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A17113) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116028530) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2021-08-03 |