NPI | 1003984857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 9953) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 158067) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2013-01-18 |