NPI | 1194779421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301038205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G89000) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2011-12-02 |