NPI | 1992264998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D94754) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D94754) |
208000000X Pediatrics (Licence: NY 1956) | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-12-04 |