NPI | 1679559512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME80087) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME80087) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2024-09-25 |