| NPI | 1154574143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NY 285173-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT193249) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2017-02-28 |