NPI | 1417159161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA C55464) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007018726) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2015-03-18 |