| NPI | 1124412036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT222603) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D84945) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2021-07-12 |