| NPI | 1346406121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD453144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 235749) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2015-04-29 |