NPI | 1689660201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 241089-1) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 001909) |
208000000X Pediatrics (Licence: NY 241089) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2016-09-30 |