NPI | 1700884749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NY 231585) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 231585) |
208000000X Pediatrics (Licence: NC 2005-01168) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2024-08-01 |