| NPI | 1164660494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2008010723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008010723) |
| 208000000X Pediatrics (Licence: OH 35089088) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-35224) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2011-10-07 |