NPI | 1801838966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD202561) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00042179) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2017-01-08 |