NPI | 1053639070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60891239) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A121626) |
Enumeration Date | 2010-05-14 |
Last Update Date | 2019-12-06 |