| NPI | 1649502162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD440574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D72093) |
| 208000000X Pediatrics (Licence: PA MD440574) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2016-07-27 |