NPI | 1932444882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301048836) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301048836) |
208000000X Pediatrics (Licence: MI 4301048836) | |
Enumeration Date | 2012-12-04 |
Last Update Date | 2012-12-04 |