NPI | 1932125812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10008189) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO MO105925) |
208D00000X General Practice (Licence: DE C10008189) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2011-12-27 |