NPI | 1619186541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MS 21717) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7505) |
208000000X Pediatrics (Licence: IA 37785) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: IA 37785) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 062331) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2022-07-21 |