NPI | 1982131363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD470603) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD470603) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2023-10-02 |