| NPI | 1801965173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: OR MD24766) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: WA MD00045937) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-01-31 |