| NPI | 1366414328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 61572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.090233) |
| 208000000X Pediatrics (Licence: MN 47705) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 47705) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-06-14 |