NPI | 1245326982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A36208) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A36208) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2010-10-15 |