NPI | 1891767232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX H6062) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 32065) |
208000000X Pediatrics (Licence: VA 0101252892) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2022-01-26 |