NPI | 1790978674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD438883) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190294) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2015-04-08 |