| NPI | 1841694148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD457961) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270944) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2016-07-07 |