NPI | 1619223534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 135515) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0439201) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2021-10-08 |