NPI | 1528677085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME154297) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA07432300) |
Enumeration Date | 2020-07-30 |
Last Update Date | 2022-08-16 |