NPI | 1043479157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD454246) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247239) |
208000000X Pediatrics (Licence: NC 2009-00386) | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2015-08-28 |