NPI | 1124234521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD433867) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT183629) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2016-03-08 |