NPI | 1730718495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102206896) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0102206896) |
208D00000X General Practice (Licence: VA 0102206896) | |
Enumeration Date | 2020-04-05 |
Last Update Date | 2025-02-08 |