NPI | 1366657884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 26809) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093549) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-01-27 |