NPI | 1972584019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC MD34159) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 20004000270) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2016-10-26 |