| NPI | 1255508503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO DR.0058979) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D72157) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2021-03-24 |