NPI | 1568111433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD225023) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61288022) |
Enumeration Date | 2022-03-19 |
Last Update Date | 2025-08-13 |