NPI | 1609258821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA PGY.202959) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R6694) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2022-04-06 |