NPI | 1124346804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS13730) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MB09261900) |
Enumeration Date | 2010-05-05 |
Last Update Date | 2016-09-09 |