NPI | 1043357320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PR 15737) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 15737) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2023-08-22 |