NPI | 1225398217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 261953) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14926) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2015-06-15 |