NPI | 1740866292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 104775) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 104775) |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-06-22 |