NPI | 1588857783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60173983) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008971) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2019-10-15 |