NPI | 1710201363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX P6161) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT196588) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2013-07-18 |