NPI | 1952309148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-19627) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 0419627) |
208000000X Pediatrics (Licence: MO R9B94) | |
Enumeration Date | 2005-07-12 |
Last Update Date | 2012-05-31 |