NPI | 1073760930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08622700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-05-08-00) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2013-05-24 |