NPI | 1760555023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D36696) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD16176) |
208000000X Pediatrics (Licence: VA 0101223332) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-09-19 |