NPI | 1679594691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: LA 10053R) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 10053R) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2013-04-03 |