NPI | 1396975199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A12020) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.010235) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2021-11-10 |