NPI | 1265850952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD198068) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 9550276-1205) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD.MD.61048911) | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2020-12-07 |