NPI | 1669621363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60836518) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08363400) |
208000000X Pediatrics (Licence: PA MD436251) | |
Enumeration Date | 2008-09-17 |
Last Update Date | 2021-04-16 |