| NPI | 1104230788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: PA OS020662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD P30075) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-11-28 |