NPI | 1659399327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A56413) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME105931) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2012-01-11 |