NPI | 1912589144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AK 219407) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R78659) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2024-07-29 |