| NPI | 1881838647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VT 042.0013116) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 250654) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2015-05-29 |