NPI | 1811194111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D72917) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190334) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2019-10-20 |