NPI | 1184825226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD428470) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428470) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2016-03-09 |