| NPI | 1396930673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TN 12882) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TN 145975) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2019-04-04 |