NPI | 1598121410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D88427) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101041525) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2021-09-16 |