NPI | 1750931838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 80322) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34446) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2025-09-02 |