NPI | 1326037300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL 8479) |
Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL 8479) |
Enumeration Date | 2005-10-20 |
Last Update Date | 2007-07-09 |