| NPI | 1598941841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: KY 42086) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42086) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2022-05-03 |