NPI | 1801246921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SD 16934) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 69767-20) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2025-08-15 |