NPI | 1699156364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A23864) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY R3877) |
208000000X Pediatrics (Licence: SC 51932) | |
208000000X Pediatrics (Licence: TN 4593) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2025-06-02 |