| NPI | 1598053647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-40580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 7585) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2019-04-24 |