NPI | 1912135450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2015010245) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME124745) |
208000000X Pediatrics (Licence: NY 273287) | |
Enumeration Date | 2009-06-23 |
Last Update Date | 2022-09-28 |