| NPI | 1497173686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2020022090) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL BF 4649604-B 527) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 51268) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 05-43307) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-07-17 |