NPI | 1417168352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD419422) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NJ 25MA07947600) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX 42057) | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N2208) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2015-04-27 |