NPI | 1194723619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0423071) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO R9H85) |
Enumeration Date | 2005-07-08 |
Last Update Date | 2012-04-26 |