NPI | 1912963901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-31508) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2005025930) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2016-08-12 |