NPI | 1053610311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 55433) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 120720) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2019-02-01 |