NPI | 1093975633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD445932) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125052775) |
208000000X Pediatrics (Licence: MI 4301095911) | |
Enumeration Date | 2008-06-16 |
Last Update Date | 2013-05-13 |