NPI | 1770343915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024022169) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11917) |
Enumeration Date | 2024-03-21 |
Last Update Date | 2024-06-19 |