| NPI | 1417365008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A168502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.024142) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2020-07-01 |