| NPI | 1669674354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P5809) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.094748) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-08-10 |