NPI | 1104104629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MD D83160) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D83160) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2022-07-21 |