NPI | 1578859450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A122445) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GU M-1892) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2020-11-19 |