NPI | 1760731970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C7-0006772) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004827) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2018-06-04 |