| NPI | 1174817522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO DR.0059919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO TL.0005436) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-09-17 |