NPI | 1912172214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX M8226) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.201558) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2013-01-09 |