NPI | 1922369404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q4080) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0042810) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2015-11-17 |