NPI | 1497843197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 037648) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 161065) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |