NPI | 1568873909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX S8184) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ZZ 12801) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2024-06-03 |