NPI | 1972861441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A12833) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX q1507) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2021-12-06 |