| NPI | 1326037151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 9791A) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KS 04-30620) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-06-10 |