| NPI | 1720051519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 40288) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD062568L) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2008-07-11 |