NPI | 1124281654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 122540) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 259937) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2014-07-02 |