| NPI | 1962599415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MD431260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP00655) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-10-27 |