| NPI | 1083992606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: ID M-14168) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 277988) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-04-27 |