NPI | 1972508448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 036690) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35036690) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2011-12-29 |