NPI | 1669730867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 48039) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 48039) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2019-06-13 |