NPI | 1235596107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A14636) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO3516) |
Enumeration Date | 2016-01-24 |
Last Update Date | 2016-12-13 |