NPI | 1740441732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A131113) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A131113) |
208000000X Pediatrics (Licence: MA 247149) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2021-09-29 |