NPI | 1679664213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 143285) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 143285) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2011-02-28 |