NPI | 1780117606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 306956) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2024-02478) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2024-10-07 |