| NPI | 1083788178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: UT 5704600-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5704600-1205) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-10-21 |