NPI | 1528488707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35130703) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 154494) |
Enumeration Date | 2014-04-26 |
Last Update Date | 2019-07-02 |