NPI | 1992878078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 49439) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 49439) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-08-14 |