NPI | 1215069760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C20008723) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C7-0003279) |
208D00000X General Practice (Licence: DE C20008723) | |
Enumeration Date | 2007-03-11 |
Last Update Date | 2011-10-26 |