NPI | 1043287675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 179403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 179403) |
174400000X Specialist | |
Enumeration Date | 2006-03-02 |
Last Update Date | 2013-03-26 |