| NPI | 1437291564 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 35311)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 35311)  | 
| Enumeration Date | 2007-02-13 | 
| Last Update Date | 2020-10-11 |