NPI | 1811300387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A15458) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT016058) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2017-06-21 |