NPI | 1609047042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A 12438) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 239204) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2020-04-08 |