NPI | 1356543367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 245626) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01149) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2012-06-15 |