NPI | 1790710168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL MD.48564) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN MD46831) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 2006-01529) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-06-14 |