NPI | 1891354882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 4632) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 11078) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2022-06-20 |