| NPI | 1508129818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT201075) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454306) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-06-26 |