NPI | 1639181340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 36054) |
Additional Taxonomies | 174400000X Specialist (Licence: KY 36054) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2019-10-23 |