NPI | 1609812585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA C54795) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA C54795) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2015-08-20 |