| NPI | 1669609079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OR MD170889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.099085) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WA 60532772) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2015-09-23 |