NPI | 1700240348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX U5315) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-09095) |
208000000X Pediatrics (Licence: TX U5315) | |
208000000X Pediatrics (Licence: MO 2016020776) | |
Enumeration Date | 2016-04-10 |
Last Update Date | 2024-04-03 |