| NPI | 1184032518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 59487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 59487) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2025-09-30 |