| NPI | 1659557056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 234879) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007009838) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2015-08-25 |