| NPI | 1477501047 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 36394)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.135833)  | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 31281)  | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 56979)  | |
| Enumeration Date | 2006-05-05 | 
| Last Update Date | 2023-05-01 |