NPI | 1679204903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL TRN35628) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 103346) |
Enumeration Date | 2022-06-17 |
Last Update Date | 2025-02-27 |