NPI | 1790914448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD479397) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040707) |
208000000X Pediatrics (Licence: PA MD479397) | |
Enumeration Date | 2009-07-02 |
Last Update Date | 2024-02-06 |