| NPI | 1356557284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA 121019) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301078225) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-07-11 |