| NPI | 1437302494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR MD28482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD28482) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-35002) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-07-06 |