| NPI | 1104051051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KS 04-36356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 54128) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2022-01-31 |