NPI | 1891181525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 304512) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10359800) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-03-16 |