NPI | 1912040627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD H0069465) |
Additional Taxonomies | 208D00000X General Practice (Licence: DE C2-0012895) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-09-30 |