NPI | 1578821583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A126615) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126615) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2024-04-10 |