| NPI | 1497967699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OK 28115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT183545) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-08-02 |