NPI | 1043293376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 42205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5427) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-12-16 |