NPI | 1598150419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 70011) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 61854) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-03-29 |