NPI | 1619056546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 249872) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL R9047) |
208000000X Pediatrics (Licence: IL 036121148) | |
208000000X Pediatrics (Licence: NJ MA08466100) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-01-12 |