NPI | 1780823336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5352) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101017932) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2016-02-29 |