| NPI | 1184617946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35067806) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 36541) |
| 208000000X Pediatrics (Licence: KY 36541) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 36541) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2010-07-14 |