NPI | 1568580769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0009151) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT189316) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2011-11-07 |