NPI | 1114977790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME78762) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME78762) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2018-03-17 |