| NPI | 1922263490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 238930) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229416) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2014-04-23 |