NPI | 1558326330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 281964) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 054577) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2015-10-21 |