NPI | 1942795653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101026346) |
Additional Taxonomies | 208D00000X General Practice (Licence: MI 5101024217) |
Enumeration Date | 2018-06-25 |
Last Update Date | 2025-08-15 |