NPI | 1376561415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME79468) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200700845) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2013-09-16 |