| NPI | 1679518633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA 40508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 51946) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-05-25 |