NPI | 1700060480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 42787) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81703) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2014-04-24 |