NPI | 1659350031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ME48566) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME48566) |
Enumeration Date | 2006-01-12 |
Last Update Date | 2012-09-20 |