NPI | 1619921525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0091794) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX K6018) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2021-06-15 |