NPI | 1588757025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA052411) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD039798E) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MA052411) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-04-25 |