NPI | 1619978293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0013055) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 181118) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2018-06-28 |