NPI | 1114022076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G63849) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA G63849) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2017-01-17 |