NPI | 1578853685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AZ 010817) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 010817) |
Enumeration Date | 2011-04-10 |
Last Update Date | 2024-08-30 |