NPI | 1073825717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IL 036.152665) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0081514) |
208000000X Pediatrics (Licence: OH 35.121105) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0081514) | |
Enumeration Date | 2010-07-10 |
Last Update Date | 2020-06-29 |