| NPI | 1871638460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 40869) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N6449) |
| 208000000X Pediatrics (Licence: KY IP871) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-02-07 |