NPI | 1750323259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX J7946) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX J7946) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2007-12-03 |