NPI | 1811283872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 258388) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4858) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2023-03-01 |