NPI | 1346312246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PR 9545) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 72131) |
208000000X Pediatrics (Licence: LA 11087R) | |
208D00000X General Practice (Licence: PR 9545) | |
208D00000X General Practice (Licence: FL 72131) | |
208D00000X General Practice (Licence: LA 11087R) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2011-03-15 |