NPI | 1568486058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 249544) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 36922) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2021-04-07 |