NPI | 1770142374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME175254) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2022-0361) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2025-07-17 |