| NPI | 1386852218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2012011127) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 38486) |
| 208000000X Pediatrics (Licence: IA R-7786) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-35840) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-02-14 |