| NPI | 1194088963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SD 10846) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042.0013120) |
| 208000000X Pediatrics (Licence: MN 56560) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2018-07-17 |