NPI | 1588081467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA 477057) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 269837) |
208000000X Pediatrics (Licence: NY 281386) | |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-05-05 |