NPI | 1578826558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 05024) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS 25141) |
Enumeration Date | 2012-06-24 |
Last Update Date | 2021-07-19 |