| NPI | 1457317554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A36956) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A36956) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61015167) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-02-27 |