NPI | 1417914268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A9673) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OH 34.008124) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-11-26 |