| NPI | 1265508667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 37935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 242087) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-08-14 |