NPI | 1891999611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.203604) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL29955) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-03-27 |