NPI | 1568818698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A175708) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11260645-1205) |
Enumeration Date | 2016-05-07 |
Last Update Date | 2025-06-25 |