NPI | 1497911838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD42989) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012001377) |
208000000X Pediatrics (Licence: NE 16195) | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2018-04-30 |