NPI | 1508023110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.099163) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 204630) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2013-05-06 |