NPI | 1639517287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T3152) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 285392) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2024-09-13 |