NPI | 1629575634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX V0780) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.142170) |
Enumeration Date | 2018-04-07 |
Last Update Date | 2024-05-16 |