NPI | 1992097059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q0550) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA 39582) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2014-09-22 |