NPI | 1598171118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A166135) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.065024) |
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 270619) | |
Enumeration Date | 2014-07-02 |
Last Update Date | 2022-12-28 |