NPI | 1790748994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD44004) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 238606) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2014-03-18 |