NPI | 1104261031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q7875) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10047234) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2017-04-11 |