NPI | 1548349392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS010375L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C20006430) |
208D00000X General Practice (Licence: DE C20006430) | |
Enumeration Date | 2006-11-03 |
Last Update Date | 2013-12-16 |