| NPI | 1700830759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.081407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.081407) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-03-13 |