NPI | 1073704151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0084290) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268459) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2021-08-24 |