NPI | 1174728695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 054519) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-232255) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2015-11-22 |