NPI | 1558653915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.207079) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301108852) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2023-03-14 |