| NPI | 1316957376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SC 29172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL29172) |
| 208000000X Pediatrics (Licence: GA 64001) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-10-28 |