NPI | 1487674487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 25863) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 49224) |
208000000X Pediatrics (Licence: WA MD00046379) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2012-04-20 |