NPI | 1235349044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N9018) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 242333) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2018-10-10 |