NPI | 1619089356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD22911) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00040637) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-02-04 |