NPI | 1619164456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A101391) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BT2341066-8179) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2011-03-17 |