| NPI | 1366731556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 52646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 52646) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2018-09-17 |