| NPI | 1619168648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: FL ME109222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201610) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-04-13 |