NPI | 1417910977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 36427) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 12937) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2014-08-27 |