NPI | 1659304368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A96483) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 224604-1) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2021-12-13 |