| NPI | 1184705642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 66741) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL28106) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-03-15 |