| NPI | 1700805967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D28060) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D28060) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-07-29 |