NPI | 1790779007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM 93385) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX J0249) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2007-07-08 |