NPI | 1114230984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME120647) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 48970) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2018-05-09 |