| NPI | 1992767099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TX J0702) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 35-054741) |
| 208000000X Pediatrics (Licence: TX J0702) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-01-21 |