NPI | 1720137128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 231703) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD428559) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-11-08 |