NPI | 1376834234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 46890) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55687) |
208000000X Pediatrics (Licence: KY 46890) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 55687) | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2014-09-26 |