NPI | 1790755163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA a77260) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 209894) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2018-04-30 |