NPI | 1104159243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.203991) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003436) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2016-09-10 |