NPI | 1770756595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD170971) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME109315) |
Enumeration Date | 2008-04-13 |
Last Update Date | 2018-03-17 |