NPI | 1780053835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D80349) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280499) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2017-02-09 |