NPI | 1699768291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME164169) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD08253) |
208000000X Pediatrics (Licence: ME MD20826) | |
Enumeration Date | 2005-08-30 |
Last Update Date | 2024-06-25 |