NPI | 1841641198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T0908) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109452) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-07-06 |