NPI | 1346478641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD451952) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 241615) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2014-07-21 |