NPI | 1649857681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 94-10561) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021019666) |
Enumeration Date | 2021-03-25 |
Last Update Date | 2023-05-01 |