NPI | 1326040973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 1317) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 01493) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-07-24 |