NPI | 1851364624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 62180) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX H4625) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2019-12-27 |