NPI | 1588971485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PR 20758) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PR 29218-R) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2024-03-19 |