| NPI | 1851399828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 036233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 036233) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-04-13 |