NPI | 1356510614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0066349) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD037795) |
208000000X Pediatrics (Licence: VA 0101247864) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2011-12-02 |