| NPI | 1972551026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 37805) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 37805) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-12-14 |