NPI | 1861830382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D89513) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT204237) |
208000000X Pediatrics (Licence: PA MD462078) | |
Enumeration Date | 2013-06-06 |
Last Update Date | 2024-04-02 |