NPI | 1518303171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 285171) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1020097) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2025-03-12 |