| NPI | 1497946578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KS 04-33866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2006027981) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-01-06 |