NPI | 1639707904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2023011023) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10405) |
208000000X Pediatrics (Licence: MO 2020018140) | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-08-02 |