| NPI | 1508811340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX S4193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 23084) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 65146) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-01-17 |