| NPI | 1124464771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 65386) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA DO-04888) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-05-15 |