| NPI | 1265664692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC DO034307) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 251142) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-07-25 |