NPI | 1609294248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101266536) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 149187) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2023-03-07 |