| NPI | 1255540704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME109858) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007012506) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2007012506) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-10-30 |