NPI | 1972646479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P0911) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WV 21130) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2024-07-26 |