| NPI | 1659337970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.090739)  | 
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-29122)  | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2001008544)  | |
| Enumeration Date | 2006-04-25 | 
| Last Update Date | 2015-01-23 |