NPI | 1568641561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0071717) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35090503) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2018-07-16 |