NPI | 1548453954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N5403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 102491) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2019-11-27 |