NPI | 1720040322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A 10417) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 222257) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2009-01-20 |