| NPI | 1255599882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 48286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2011-01503) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-01-20 |