| NPI | 1205052792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME43637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 041326) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-01-05 |