NPI | 1669979704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T9796) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A174530) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2022-09-26 |