| NPI | 1679594691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 10053R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 10053R) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2013-04-03 |