NPI | 1104023613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME1179855) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23752) |
208000000X Pediatrics (Licence: IN 01070031A) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2014-09-24 |