| NPI | 1083926349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 83238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT198177) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2019-08-20 |