NPI | 1003309188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD209522) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD209522) |
208000000X Pediatrics (Licence: PA MT214896) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61645365) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2025-08-10 |