NPI | 1992795942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0043680) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME0043680) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2022-03-25 |