| NPI | 1396983326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NV 14401) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M8942) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2012-09-20 |