NPI | 1972761237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 248611) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 248611) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2016-07-01 |