NPI | 1376801498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0099279) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10425900) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2024-09-16 |