NPI | 1306053970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35091526) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301084545) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-06-28 |