NPI | 1720289481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME108093) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN11026) |
208000000X Pediatrics (Licence: AZ 46847) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2013-10-16 |