NPI | 1154783306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 295374) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA11104500) |
Enumeration Date | 2016-03-27 |
Last Update Date | 2024-06-27 |