NPI | 1104034248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.202215) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 27112) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2008-12-17 |