| NPI | 1164861894 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: DC MD045079)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116026162)  | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MD D0089618)  | |
| Enumeration Date | 2013-06-16 | 
| Last Update Date | 2023-03-29 |