NPI | 1760910103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D90194) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213563) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2023-07-12 |