NPI | 1740624238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301111846) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280366-1) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2024-11-05 |