NPI | 1679521884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 9741) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2008-0605) |
208000000X Pediatrics (Licence: WI 53672) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2010-03-23 |