| NPI | 1992934004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY TP248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009017560) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2015-03-13 |