| NPI | 1396877825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CT 048747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-00493) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 250888) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2013-12-10 |