NPI | 1417110420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2011008023) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-36010) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2014-07-29 |