NPI | 1104846567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS11047) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 240504) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2018-04-03 |