NPI | 1679618664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0013477) |
Additional Taxonomies | 208D00000X General Practice (Licence: DE C1-0013477) |
208000000X Pediatrics (Licence: NJ 25MA07728400) | |
Enumeration Date | 2007-02-20 |
Last Update Date | 2019-12-30 |