NPI | 1881109585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX T8697) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 19798) |
208D00000X General Practice (Licence: PR 14132-I) | |
Enumeration Date | 2017-12-05 |
Last Update Date | 2022-11-02 |