| NPI | 1174968739 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AL MD.33881)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.33881)  | 
| Enumeration Date | 2013-05-08 | 
| Last Update Date | 2019-09-20 |