NPI | 1114362787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME140387) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 191766) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2023-03-07 |