NPI | 1124074984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 94-01330) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 94-01330) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2013-07-24 |