NPI | 1093819518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 200173) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX M7311) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2015-08-11 |