NPI | 1972658615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0050369) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD21204) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2021-06-28 |