NPI | 1750495016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 200401187) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 200401187) |
208000000X Pediatrics (Licence: NC 200401187) | |
Enumeration Date | 2006-08-17 |
Last Update Date | 2022-04-25 |