| NPI | 1891115762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 273201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A140586) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A140586) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2018-03-17 |