NPI | 1134410624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0304) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP20047377) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2021-05-25 |