NPI | 1578635389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 58919) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0069453) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2007-07-08 |