NPI | 1871605303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 35016) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 35016) |
208000000X Pediatrics (Licence: NC 35016) | |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 35016) | |
2086S0120X Surgery, Pediatric Surgery (Licence: NC 35016) | |
208D00000X General Practice (Licence: NC 35016) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2018-11-27 |