NPI | 1205971223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 49405) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 18011) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2013-03-29 |