NPI | 1750781936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME147428) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 276519) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2021-12-13 |