| NPI | 1639192685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA MD.06216R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.06216R) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-21 |