NPI | 1790905867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 3262) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0110001977) |
Enumeration Date | 2007-04-30 |
Last Update Date | 2019-08-14 |