NPI | 1609820844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA04462700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1487371) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2013-07-05 |