NPI | 1750353777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD053394L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD053394L) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2017-02-21 |