NPI | 1639312424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35123758) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL me 112972) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2018-06-28 |