NPI | 1033520291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO R1C65) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0430385) |
207Q00000X Family Medicine (Licence: KS 0430385) | |
207Q00000X Family Medicine (Licence: MO R1C65) | |
Enumeration Date | 2014-05-09 |
Last Update Date | 2014-11-03 |