NPI | 1730164328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 275381) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60410099) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2019-03-01 |