NPI | 1962732735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 179674-1) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 179674-1) |
Enumeration Date | 2009-12-30 |
Last Update Date | 2009-12-30 |