NPI | 1356302780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 145043) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 145043) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2008-04-10 |