| NPI | 1811164031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 6246246-1205) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 066881) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2012-04-10 |