NPI | 1760486302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OK 12376) |
Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics (Licence: OK 12376) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2011-05-04 |