NPI | 1285993766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA10758800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280619) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2024-07-18 |