| NPI | 1750600078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60861186) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60861186) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2018-09-27 |