NPI | 1982808556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX N0237) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0023816) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2011-01-07 |