NPI | 1639570286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 312379) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19906) |
Enumeration Date | 2014-09-12 |
Last Update Date | 2019-10-23 |