| NPI | 1225181126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 14890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 222399) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-06-18 |