NPI | 1477583425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 52658) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 39226-020) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2014-03-20 |