NPI | 1205863131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL OS12811) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 3212) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2015-05-13 |