NPI | 1669768271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 74003-21) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9252) |
208000000X Pediatrics (Licence: OR DO167349) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2020-10-20 |