NPI | 1942469622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 281956) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D71927) |
208000000X Pediatrics (Licence: CT 54695) | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2015-11-18 |