| NPI | 1497708481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: SD 4889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4889) |
| 208000000X Pediatrics (Licence: MN 44588) | |
| 208000000X Pediatrics (Licence: IA R 5861) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-03-05 |