NPI | 1881654200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 11170) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 252078) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2015-01-12 |