| NPI | 1164784104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 94917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.125646) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.125646) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-07-14 |