NPI | 1366720781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL 14696) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036134123) |
Enumeration Date | 2011-08-02 |
Last Update Date | 2018-03-17 |