| NPI | 1134212202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OR 164925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M4727) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-02-04 |