NPI | 1811072267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 201811) |
Additional Taxonomies | 208D00000X General Practice (Licence: DE C1000) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2011-10-20 |