| NPI | 1376570879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME115201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 44235) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 44235) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-03-17 |