NPI | 1831766187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA R-12146) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61529093) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2024-05-24 |