NPI | 1760502132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 220180) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 220180) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2017-08-22 |