NPI | 1588221204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1014656) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116032632) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2025-06-12 |