NPI | 1700813995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 192828) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA05990600) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2013-03-06 |