NPI | 1770922288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME69580) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME69580) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2024-03-28 |