NPI | 1548269087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C175369) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 022786) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2024-07-16 |