| NPI | 1003506239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TN 77489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 77489) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2026-08-07 |