NPI | 1871151381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.147598) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045099) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2023-06-26 |