NPI | 1215959085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 09338R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 09338R) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2011-05-12 |