| NPI | 1538480983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CO TL0004998) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT196942) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2016-07-05 |