| NPI | 1003307497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX V1054) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10063709) |
| 208000000X Pediatrics (Licence: PA MT222314) | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-05-10 |