NPI | 1346442274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0014) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.010705) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2013-04-12 |