NPI | 1558447821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 176809) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 176809) |
Enumeration Date | 2006-10-30 |
Last Update Date | 2018-06-05 |