| NPI | 1225000714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M4731) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD065613L) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-11-07 |