NPI | 1770618605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A72590) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A72590) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-01-03 |