NPI | 1982793667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD431800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA70055) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2016-05-04 |