NPI | 1225084445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 36065) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4117) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2008-09-04 |