| NPI | 1124312087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.123884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.123884) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-11-27 |