NPI | 1467534677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD31819) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101250770) |
208000000X Pediatrics (Licence: MD D0073206) | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2012-11-16 |