NPI | 1093153405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD457832) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT203779) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2016-08-04 |