NPI | 1932152261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07429000) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA07429000) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2007-07-08 |