| NPI | 1164632964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61440710) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61440710) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-09-25 |