NPI | 1346383023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA081187) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 227210) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2023-12-19 |