NPI | 1942564745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA DO-04638) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-9571) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2015-03-26 |