NPI | 1003881772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 043168) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 246846) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2011-10-05 |