| NPI | 1710294491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 075274) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.018006) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2016-11-01 |