NPI | 1972184349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD226901) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MDRE.ML.61297138) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2025-08-28 |