NPI | 1316007792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NJ 25MA07164000) |
Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NJ MA71640) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2021-07-23 |