NPI | 1386039451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 295151) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 295151) |
Enumeration Date | 2015-04-05 |
Last Update Date | 2024-06-21 |