| NPI | 1396997565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WI 60420-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 7148405-1205) |
| 208000000X Pediatrics (Licence: UT 7148405-8905) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 53075) | |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2013-08-01 |