| NPI | 1568408219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX D9418) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX D9418) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-12-03 |