NPI | 1225272248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 273928) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42542) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2015-10-02 |