| NPI | 1093078107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 74912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL34821) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2018-07-15 |