NPI | 1588625792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 145936) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 145936) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2013-03-26 |