NPI | 1902847395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A103282) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044895) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-10-22 |