NPI | 1124062435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 43186) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-30967) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2011-01-10 |