NPI | 1609097773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 68977) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD448143) |
208000000X Pediatrics (Licence: CT 54144) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-11-08 |